Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215860044 Individual Practitioner Male Practitioner

Dwight C Jackson

Nurse Practitioner • Cameron, MO

Professional Overview & Biography Verified Profile Summary

Dwight Jackson is a registered healthcare professional specializing in Nurse Practitioner in Cameron, MO. Practice services are available at 204 BENJAMIN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

204 Benjamin Dr

Cameron, MO 644292320

Telephone 4352156082

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cameron, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Cameron, MO (1750 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2025097452

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2026

Registered at 204 BENJAMIN DR, CAMERON, MO 644292320 (Tel: 4352156082)

📍
Updated Business Mailing Address June 03, 2026

Registered at 204 BENJAMIN DR, CAMERON, MO 644292320 (Tel: 4352156082)

👤
Provider Name / Credentials Updated June 03, 2026

Recorded as DWIGHT JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2026

Nurse Practitioner (License #2025097452 in MO)

🟢
Initial NPI Registration & Enumeration June 03, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dwight Jackson. Be the first to share your experience!

Sign in to leave a review for Dwight Jackson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1215860044
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2026
Last Update: June 03, 2026
Sole Proprietor: Yes

Mailing Address

204 Benjamin Dr

Cameron, MO 644292320

Phone: 4352156082

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.